Children and adolescents’ health on focus: Gastrointestinal injuries associated with Helicobacter pylori

Main Article Content

Maria Rossana Bertolo Guariento
https://orcid.org/0000-0003-1810-461X
Janine Pereira da Silva
https://orcid.org/0000-0001-8305-6808
Giovana Bertolo Guariento
https://orcid.org/0000-0003-4216-5834
Gustavo Carreiro Pinasco
https://orcid.org/0000-0002-9090-637X
Arthur Brunelli Sales
https://orcid.org/0000-0003-3477-3397
Catarina Bubach Ribeiro Alves
https://orcid.org/0000-0002-6689-2270
Lucia Helena Sagrillo Pimassoni
https://orcid.org/0000-0002-1240-4008
Valmin Ramos-Silva
https://orcid.org/0000-0003-1574-0266

Abstract

Objective: To describe the prevalence of Helicobacter pylori (HP) in children and adolescents, and to assess its association with lesions in the esophagus, stomach, and duodenum according to the patient’s life cycle. Methodsː A cross-sectional analytical study with children and adolescents referred to a gastroenterology service and underwent esophagogastroduodenoscopy at a hospital in Vitória, Espírito Santo, Brazil, from 2001 to 2013. Variables analyzed were the following: sex, age, macro and microscopic alterations and severity of infestation. The Chi-square and Fisher's exact tests and adjusted residue analysis were used (α = 5%). Resultsː the prevalence of infection was 24.4%. Esophagitis (29.4%) and gastritis (34.1%) were associated with HP. The life cycle was associated with esophagitis and duodenitis. Infection was associated with life cycle: infants (0.8%), preschool children (10.5%), school-aged children (16.5%), and adolescents (72.2%). The residues showed a strong association between HP and gastritis, and no association between the school-aged and esophagitis. Adolescents were the major contributors to the association between life cycle and infection, and life cycle and lesion. Conclusionsː Infection with HP was associated with esophagitis and gastritis and was higher among adolescents, who had a marked tendency to develop gastritis and a milder tendency to develop esophagitis. The tendency of developing infection and gastritis was not present in the other life cycles. Public policies focusing on promotion and protecting health, especially in vulnerable population groups, are needed. 



Article Details

How to Cite
1.
Bertolo Guariento MR, Pereira da Silva J, Guariento GB, Pinasco GC, Sales AB, Alves CBR, et al. Children and adolescents’ health on focus: Gastrointestinal injuries associated with Helicobacter pylori. HSJ [Internet]. 2020 Dec. 15 [cited 2024 Nov. 2];10(4):117-24. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1026
Section
ORIGINAL ARTICLE
Author Biographies

Maria Rossana Bertolo Guariento, Nossa Senhora da Glória Children's Hospital (HEINSG)

Medical Residency in Pediatrics at Nossa Senhora da Glória Children's Hospital (HEINSG), Vitória, Espírito Santo, Brazil.

Janine Pereira da Silva, Postgraduate Program in Public Policy and Local Development, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

PhD in Child and Adolescent Health, Professor of the Stricto Sensu Postgraduate Program in Public Policies and Local Development at EMESCAM. Vitória, Espírito Santo, Brazil.

Giovana Bertolo Guariento, Department of Pediatrics, ABC Foundation School of Medicine (FMABC)

ABC Foundation School of Medicine (FMABC). Santo André, São Paulo, Brazil.

Gustavo Carreiro Pinasco, Department of Pediatrics, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

PhD in Health Sciences, Professor of Pediatrics at the School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória, Espirito Santo, Brazil.

Arthur Brunelli Sales, Faculty of Medicine, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

Fourth year medical student at the School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória, Espirito Santo, Brazil

Catarina Bubach Ribeiro Alves, Faculty of Medicine, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

Second year medical student at the School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória, Espirito Santo, Brazil

Lucia Helena Sagrillo Pimassoni, Faculty of Medicine, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

Statistitician, Master in Environmental Engineering, Professor at the School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória, Espírito Santo, Brazil

Valmin Ramos-Silva, Postgraduate Program in Public Policy and Local Development, School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM)

PhD in Pediatrics, Post-doctor in Education, Professor of the Stricto Sensu Postgraduate Program in Public Policy and Local Development at the School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM). Vitória, Espirito Santo, Brazil

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